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CompletedNCT00003191Updated Feb 7, 2013

Fenretinide in Treating Children With Solid Tumors

A Phase 1 interventional study of fenretinide in Neuroblastoma and Unspecified Childhood Solid Tumor, Protocol Specific, sponsored by National Cancer Institute (NCI). Completed at 26 sites in 2 countries. Open to participants aged Up to 21 Years. Per ClinicalTrials.gov, last updated 2013-02-07.

Sponsored by National Cancer Institute (NCI) · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
18
Allocation
Not applicable
Ages
Up to 21 Years
Sex
All
01

Study summary

Phase I trial to study the effectiveness of fenretinide in treating children who have solid tumors that have not responded to standard therapy. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.

Read the detailed description

OBJECTIVES:

I. Determine the maximum tolerated dose of fenretinide (HPR) in children with high risk solid tumors.

II. Determine the toxicities of HPR in these patients. III. Determine the pharmacokinetics of HPR in these patients. IV. Determine the CSF level of HPR in patients whom cerebrospinal fluid is obtained for routine purposes while on this study.

V. Determine the effect of HPR on plasma retinol levels in these patients. VI. Determine the activity of HPR in these patients. VII. Determine the antitumor activity of HPR on minimal residual bone marrow disease in neuroblastoma.

OUTLINE: This is a dose escalation study.

Patients receive oral fenretinide 3 times a day on days 1-7. Treatment repeats every 3 weeks for up to 8 courses. Patients may receive an additional 22 courses of therapy in the presence of stable or responding residual tumor. Patients with recurrent neuroblastoma, after prior myeloablative therapy with no measurable disease, will stop treatment after 8 courses. Cohorts of 3-6 patients receive escalating doses of fenretinide until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose limiting toxicity.

Patients are followed until death.

02

Conditions studied

  • Neuroblastoma
  • Unspecified Childhood Solid Tumor, Protocol Specific

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Keywords

  • recurrent neuroblastoma
  • unspecified childhood solid tumor, protocol specific
03

In context

Neuroblastoma

625 studies on the registry are indexed under Neuroblastoma; 122 are open to participants now.

This study's enrollment of 18 is below the median of 32 across 475 interventional studies indexed under Neuroblastoma.

Browse Neuroblastoma studies →

Lead sponsor

National Cancer Institute (NCI) is the lead sponsor of 3,506 studies on the registry; 334 are open to participants now.

Of its 402 completed or terminated interventional studies of FDA-regulated products, 365 (91%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 21 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed malignant solid tumor that is refractory to conventional therapy or recurrent neuroblastoma treated with myeloablative therapy and autologous stem cell transplant in second complete or partial response
  • Bone marrow metastases with granulocytopenia, anemia, and/or thrombocytopenia are eligible

PATIENT CHARACTERISTICS:

  • Age: Under 21 at diagnosis
  • Performance status: CCG 0-2
  • Life expectancy: At least 2 months
  • Absolute neutrophil count at least 750/mm3
  • Platelet count at least 50,000/mm3
  • Hemoglobin at least 7.0 g/dL
  • Bilirubin no greater than 1.5 mg/dL
  • SGOT and SGPT less than 2.5 times normal
  • Creatinine no greater than 1.5 g/dL OR creatinine clearance at least 50 mL/min OR radioisotope GFR at least 50 mL/min
  • Seizure disorders controlled with anticonvulsants allowed
  • No CNS toxicity greater than grade 2
  • Not pregnant
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

  • At least 1 month since prior autologous stem cell transplantation
  • No prior allogeneic transplantation
  • At least 2 weeks since prior chemotherapy (4 weeks for nitrosourea) and recovered
  • No other concurrent chemotherapy
  • No concurrent immunomodulating agents (including steroids)
  • Concurrent corticosteroid therapy for increased intracranial pressure allowed
  • Concurrent dexamethasone for CNS tumor allowed
  • At least 2 weeks since prior radiotherapy
  • Concurrent radiotherapy to localized lesions allowed
  • At least 2 weeks since prior retinoids Prior isotretinoin or 9-cis-retinoic acid allowed
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    Arm I

    Patients receive oral fenretinide 3 times a day on days 1-7. Treatment repeats every 3 weeks for up to 8 courses. Patients may receive an additional 22 courses of therapy in the presence of stable or responding residual tumor. Patients with recurrent neuroblastoma, after prior myeloablative therapy with no measurable disease, will stop treatment after 8 courses. Cohorts of 3-6 patients receive escalating doses of fenretinide until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose limiting toxicity.

    Drug: fenretinide

Interventions

  • Drugfenretinide
06

Study locations

26 sites
  • Cancer Center and Beckman Research Institute, City of Hope
    Duarte, California 91010-3000, United States
  • Long Beach Memorial Medical Center
    Long Beach, California 90806, United States
  • Children's Hospital Los Angeles
    Los Angeles, California 90027-0700, United States
  • Jonsson Comprehensive Cancer Center, UCLA
    Los Angeles, California 90095-1781, United States
  • Children's Hospital of Orange County
    Orange, California 92868, United States
  • UCSF Cancer Center and Cancer Research Institute
    San Francisco, California 94143-0128, United States
  • Children's National Medical Center
    Washington, District of Columbia 20010-2970, United States
  • Indiana University Cancer Center
    Indianapolis, Indiana 46202-5289, United States
  • University of Michigan Comprehensive Cancer Center
    Ann Arbor, Michigan 48109-0752, United States
  • University of Minnesota Cancer Center
    Minneapolis, Minnesota 55455, United States
  • Mayo Clinic Cancer Center
    Rochester, Minnesota 55905, United States
  • Children's Mercy Hospital
    Kansas City, Missouri 64108, United States
  • Cancer Institute of New Jersey
    New Brunswick, New Jersey 08901, United States
  • NYU School of Medicine's Kaplan Comprehensive Cancer Center
    New York, New York 10016, United States
  • Memorial Sloan-Kettering Cancer Center
    New York, New York 10021, United States
  • Herbert Irving Comprehensive Cancer Center
    New York, New York 10032, United States
  • Children's Hospital Medical Center - Cincinnati
    Cincinnati, Ohio 45229-3039, United States
  • Children's Hospital of Columbus
    Columbus, Ohio 43205-2696, United States
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
  • Children's Hospital of Pittsburgh
    Pittsburgh, Pennsylvania 15213, United States
  • Vanderbilt-Ingram Cancer Center
    Nashville, Tennessee 37232-6838, United States
  • University of Texas - MD Anderson Cancer Center
    Houston, Texas 77030-4009, United States
  • Primary Children's Medical Center
    Salt Lake City, Utah 84113, United States
  • Children's Hospital and Regional Medical Center - Seattle
    Seattle, Washington 98105, United States
  • University of Wisconsin Comprehensive Cancer Center
    Madison, Wisconsin 53792-6164, United States
  • Princess Margaret Hospital for Children
    Perth, Western Australia 6001, Australia
07

References and documents

Publications

  • Children's Oncology Group (CCG 09709); Villablanca JG, Krailo MD, Ames MM, Reid JM, Reaman GH, Reynolds CP. Phase I trial of oral fenretinide in children with high-risk solid tumors: a report from the Children's Oncology Group (CCG 09709). J Clin Oncol. 2006 Jul 20;24(21):3423-30. doi: 10.1200/JCO.2005.03.9271. Erratum In: J Clin Oncol. 2006 Sep 1;24(25):4223. Reynolds, Patrick C [corrected to Reynolds, C Patrick]. PubMed 16849757 ↗
  • Villablanca JG, Ames MW, Reid JM, et al.: Phase I trial of oral [N-(-4-hydroxyphenyl)retinamide] (4-HPR) in children with resistant/recurrent solid tumors: a children's cancer group study (CCG 09709). [Abstract] Proceedings of the American Society of Clinical Oncology 21: A-1588, 2002.
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 7, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00003191
Lead sponsor
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Nov 26, 2003
Start date
Mar 1998
Primary completion
Mar 2005
Last update
Feb 7, 2013

Study contacts

Judith G. Villablanca, MD
study chair · Children's Hospital Los Angeles
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2006. You cannot join it, but the record below documents what was studied.

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